Let’s say you buy a new TV. It’s the same brand as your old TV but when connected to your cable box or satellite dish it doesn’t get all the channels because the software codes don’t work. You won’t get all the benefits you need and you won’t be happy. Similarly, you need to update your CPT and HCPCS codes or you won’t be happy with the results. Let’s explain…
Avoid risks – fines, claim rejections, overcharging, and more
As healthcare rapidly advances, you may struggle to receive appropriate reimbursement for the care you provide. As a result, it’s imperative that you make every effort to update your systems with the most recent CPT and HCPCS Codes. If you ignore this, you are putting your organization at risk of:
- Overpayment/overcharging
- Underpayment/undercharging
- Claims rejections
- Fines and penalties levied by the AMA for non-compliance
Increase revenue and decrease your risk of AMA penalties
According to HIPAA (the Health Insurance Portability and Accountability Act), physicians and payers must use CPT and HCPCS Codes that are effective for the date of service. Not only is it mandated, but also it’s an essential link between your work and receiving payment for that work.
The CPT Editorial Panel, authorized by the AMA (American Medical Association), is responsible for maintaining the CPT Code set — additions, revisions, deletions – as well as for modifications to CPTCodes, descriptions, and to the rules and guidelines.
The CPT Advisory Committee, primarily physicians, supports the CPT Editorial Panel in its work. The CMS HCPCS Workgroup maintains the HCPCS Level II Codes. The Workgroup is responsible for making decisions about additions, revisions, and deletions annually. The Workgroup makes huge efforts to update both Code sets. Be sure to take advantage of the benefits of automatic annual Code updates: increased revenue and decreased risk of AMA penalties!
We have the CPT solutions required, at 35% less than you paid for before.
NextGen Healthcare continues to offer 2015 CPT, HCPCS, and RVU Codes as part of the NextGen Healthcare Coding Update File at more than a 35% lower price than last year. Enjoy the benefits of pre-formatted codes that you can import into your system effortlessly.
By understanding the AMA’s licensing terms and conditions, you will also be compliant with its definition of a “user,” which can greatly decrease your chances of being audited.
Annual automatic updates
As an added convenience, when NextGen Healthcare Direct clients purchase the Codes, they will be added to our automatic Code renewal program. This ensures you receive subsequent year codes and updates by January 1 of each year. Plus, you’ll enjoy peace of mind by securing your CPT Code licensing for 2015.
CPT Codes are available for purchase directly through your NextGen Healthcare sales rep or insidesales@nextgen.com. Learn more about the benefits of purchasing here.